A preterm very low birth weight male neonate with refractory hypoglycemia and hyperinsulinemia and hyperammonemia: A rare case report

CONTEXT: Central diabetes insipidus (CDI) is a rare cause of hypernatremia during the neonatal period. The diagnosis is particularly difficult in very low birth weight (VLBW) newborns. CASE REPORT: We report on a preterm newborn who presented CDI soon after birth. On the third day of life, signs of dehydration were present despite normal fluid supply. The diuresis rate was 4.4 ml/kg/h. Although the fluid supply was then increased, the dehydration continued, with hypernatremia, normal glycemia, diuresis of 7.4 ml/kg/h and urine density of 1005 mOsmol/l. Thus, a diagnostic hypothesis of diabetes insipidus was raised. A test with a nasal vasopressin analogue (dDAVP) was performed and CDI was confirmed. Reduction of the fluid supply became possible through appropriate treatment. CONCLUSION: The diagnosis of CDI is rarely made during the neonatal period, especially in VLBW newborns, because of the difficulty in detecting elevated diuresis. Persistent hypernatremia, usually accompanied by hyperthermia despite abundant fluid supply, weight loss and low urine osmolality are important signs of alert.

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Urinary bladder perforation in a very low birth weight infant. A case report

Journal of Perinatal Medicine ◽

10.1515/jpm.2002.026 ◽

2002 ◽

Vol 30 (2) ◽

Cited By ~ 4

Author(s):

H. Salama ◽

M. AlJuFairi ◽

A. Rejjal ◽

S. Al-Alaiyan

Keyword(s):

Case Report ◽

Birth Weight ◽

Urinary Bladder ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

Bladder Perforation ◽

Low Birth Weight Infant

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Necrotizing enterocolitis: a case report

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20201654 ◽

2020 ◽

Vol 7 (5) ◽

pp. 1150

Author(s):

Karandeep S. Bhatti ◽

Arvinder Singh

Keyword(s):

Case Report ◽

Birth Weight ◽

Low Birth Weight ◽

Premature Infant ◽

Necrotizing Enterocolitis ◽

Very Low Birth Weight ◽

Abdominal Distension ◽

Preventative Measures ◽

Treatment Prognosis ◽

Bloody Stools

Nectrotizing enterocilitis(NEC), a disease predominant in the premature formula fed infants, is a major cause of morbidity and mortality in NICU survivors. The symptoms may vary from apnea, fever, lethargy to abdominal distension, bloody stools, poor feeding and vomiting. The mainstay of treatment is the IV feeds, discontinuation of oral feeds, nasogastric (NG) decompression, possible breathing support and surgery. The objective of this case report is to discuss the presentation, treatment, prognosis and proposed preventative measures of NEC, which can help raise awareness and henceforth improve the management and subsequent prognosis of this disease. Authors present to you the case report of a VLBW (Very Low Birth Weight) premature infant with NEC.

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Neonatal Umbilical Myiasis- A Rare Case Report

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/45427.14700 ◽

2021 ◽

Author(s):

Sonu Kumar ◽

Poonam Dalal ◽

. Neha ◽

Ankit Singla

Keyword(s):

Emergency Department ◽

Case Report ◽

Vaginal Delivery ◽

Rare Case ◽

Index Case ◽

Normal Vaginal Delivery ◽

Wild Animals ◽

Rare Presentation ◽

Rare Case Report ◽

Male Neonate

Myiasis is an infestation of live vertebrates (humans and/or animals) by larvae of dipterous fly. Although, it usually infects domestic and wild animals but humans may be rarely affected if they are reared in unhygienic condition. The index case is a seven-day-old male neonate born by normal vaginal delivery, who presented to the Emergency Department with complaint of passage of worms from umbilicus which do not extend to deeper tissues. On examination, periumbilical erythema was also visible along with white glistening worms. After application of turpentine oil to the umbilical stump, the worms were mechanically removed with the help of forceps. Umbilical myiasis is a very rare presentation indicating poor hygiene and a preventable condition.

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